What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

I was diagnosed as an adult about 5 years ago. I'll spare my life story, but I've spent those five years doing everything I can to give myself an environment where I can achieve my goals, and I have done a great job with that.

Apart from getting meds, I've built a strong task management/journaling system, I've built mental habits that help me overcome anxiety spirals, I've forgiven my ADHD for existing, and I have healthier sleep/diet habits to keep my baseline up.

Lately, though, some new obstacles have come up with the birth of my son (now almost 4mo old). Tbf, I've been aware of these things before, but my son has definitely exacerbated them.

With the attention and care a child requires, my windows to do things are a lot smaller. Sometimes only 20 minutes. This has made things more difficult in a few different ways:

1. For me to start doing a lot of things, even things I am excited to do, I have a "ramp-up" period before I can really dig into it. I think this is basically the time I need to plan, prioritize, and/or remember where I left off before I actually execute.

2. When I know something will inevitably interrupt me, I avoid starting anything because interruptions like, super-duper piss me off. And I don't want to be pissed off.

3. Not really related, but somewhat. In general, I would like to be able to do more in a day. I'd say my peak operating time is 9am-3pm, give or take. Outside these hours, it's a lot harder for me to do anything outside of "shut my brain off" tasks like house chores.

As many with ADHD know, an understimulated brain is unpleasant. And how shitty is it that ADHD also makes it difficult to do the things you find intellectually stimulating?

I hope all this makes sense. I've already accepted that this is my life now, and I'm okay with it. Even still, I would love some practical, actionable advice to help me make the most with what I have. Double points if it doesn't involved upping my Adderall dosage or self-medicating with caffeine. Thanks everyone!

I recently had my first proper bout of mania. I very nearly jumped out a window thinking that magic was real ('Wicked' in particular... Defying Gravity is quite the anthem). Thankfully the hotel I was staying at was nice and fast enough to call the police, and the police called me -- I never made it on to the ledge, so to speak, and when I got a call from them I realized something was quite wrong and just went with them to the hospital. I experienced a 6-day legal hold at a mental health ward, which I very much needed, and am grateful to have been sent to one where it felt like the majority of staff genuinely cared for their patients.

I believe I inserted myself into a conversation during that time, a meta-post about a user leaving and their posts being removed (or that post was about me in the first place, it's hard to tell/recall). In any event, I apologize to everyone I interacted with in my manic state. I also very much appreciate that some users (shoutout to @DefinitelyNotAFae) could tell that it was likely a mental health issue and were concerned. I'm doing way, way better now with a medication change. In addition, I'm doing an intensive outpatient rehabilitation starting today (joint for substances and mental health issues).

So, with that being said: I'm looking for generic advice from others who are Bipolar, and am very very much interested in the perspective of those that are both Bipolar and Autistic (and yes, I am officially medically diagnosed as Autistic as well). I'm sure there are many important lessons that can be hard to figure out alone.

edit-ps: Title is a nod to my previous 'Apparently I'm Autistic?' thread that was reasonably popular, tee-hee.

The last time I ran off to see a doctor was about 10 years ago when I got a concussion shortly after graduating college. After that, I have visited optometrists and dentists, but not an MD. I had my own insurance at my first big boy job after school, but I didn't schedule any appointments [early 20s with plenty of other priorities] before I got fired after a couple years and lost employer coverage (ain't nobody got money for COBRA nonsense).

After that, I've been rather chronically underemployed and thus avoided the medical system entirely (with the above exceptions of my eyes & teeth) to avoid being told to go fix expensive problems [and not wanting the monthly drain of premiums].

Anyway, I (for better and worse) had an hours cut that got me eligible for Medicaid. I'd like to know what to say to get a head-to-toe physical (including mental health) with minimal hassle and needing to re-clarify what I want. Mental health-wise, I can state a suspected primary complaint: undiagnosed ADD due to lacking the H as a child as well as seasonal depression [the chronic depression was entirely downstream from the abovementioned ADD].

However, I have no idea what to tell the doctor to look for physically. Probably should get some kind of comprehensive blood screening done. Make sure my hormones, iron, etc… are all within normal bounds. Perhaps I have some conditions that should've spooked me into seeing a doctor five years ago, but I'm still alive and well, so they're no longer causes for alarm [even if they should be].

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

My wife of 3 years just told me last week that we're getting a divorce. It completely blindsided me, as there was no marriage counseling or communication about the marriage having problems from them before this, but I can't say I don't understand at least some of their reasons. They made it clear that there was no fixing things or repairing the relationship. They're leaving no matter what I do.

Other than the suddenness, they seem pretty willing to be amicable and compromise as needed, at least to an extent. We won't be able to properly separate for a while it seems like, though it's hard to predict the exact timeline at this stage. I'm currently planning a too-expensive last-minute flight back to the States to stay with my family for a little while, since I need some distance and they can be a source of comfort.

I can obviously hire and rely on a lawyer for handling the legal side of things (which will be complicated, to say the least), but I'm truly at a loss for how to handle it emotionally. I'm in my late 20s but I've never even been broken up with before this. Go hard or go home, ig. I hope there are others here who have good advice to share for this situation, because I don't know what to do now that the bottom has dropped out of my life like this. It feels like my whole future is gone. I was in a bad depressive episode already and obviously that's not been improved by this.

(Also, if one of our closer mutual online friends who lurks here is finding out this way -- sorry, she owns the Discord server so I can't exactly bring this up there. I welcome DMs from y'all.)

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

I might be a little early in posting this thread but I am personally beginning to stress a lot about the holidays - have been for like a month, even, to some degree.

So I wanted to make this thread as a safe venting space.

Is there anything specific about the holidays that might affect or trigger you?

How are you?

Feel very free to vent!

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

Update: https://tildes.net/~health.mental/1hnb/struggling_with_nihilism_and_the_inability_to_enjoy_things#comment-e8s1

Preface #1: I know the first response with something like this will be "go see a therapist" - I have been in therapy for over a decade now. There are a lot of things it has helped with (specifically trauma-focused), but nihilism is not something I've been able to get help with. The help has ranged from things like "focus on the micro over the macro" (which I think is probably the best advice, but also can be boiled down to "don't think" and I can't not think), to "find religion" (for me at least: religion doesn't breed hope, hope breeds religion), to "I don't know how to help, I can't relate to that" (...not all therapist are good).

Preface #2: I know the quick response to "life is meaningless" is "so make your own!" but I absolutely despise that logic. If everything is meaningless, than that means making your own meaning is meaningless. It's self-defeating in and of itself. That said, I don't really care about "meaning" anyway. I personally view things as "irrelevant", as if you dig deep enough you get to a point where everything is relevant to nothing. And the conclusion to draw from that is: "it's irrelevant that everything is irrelevant" - similar meaning, but checks out logically significantly better to me. But this has it's own problems that I will go in below.

Preface #3: I know the quick response to the inability to enjoy things is "you don't enjoy things because you are depressed." What I'm positing is the inverse, "I no longer enjoy things, and it's causing me to be depressed." I'm very much not saying the former doesn't happen and I've gone through time periods like that. What I am saying is that the latter is also true, and I'm sure that other people who have dealt with depression for decades understands both "My depression is causing this to happen" and "This is causing my depression to flare" happen.

To give quick context for myself: I had become a nihilistic atheist by the time I graduated elementary school; I had a rather traumatic childhood and my official diagnosis is (C-)PTSD and all the offshoots that come from it like depression and anxiety (Bringing up as I recognize myself these are thoughts that, according to the DSM/ICD, would be from someone with mental disorders). This led to things like dropping out of high school and becoming a mute hikikomori. To make a long story short, in my late teens I got to a point of either suicide or completely revamping my life with the belief that enjoyment could be found via actually being social (friends and dating) and proper self-sufficiency/money. I chose the latter for one simple reason: there was nothing to lose, so just trust the process. It took over a decade of constant self improvement, but I became a sociable person part of different clubs and hosting my own parties/gatherings with a very active dating life. I also got my degree in comp sci and have done quite well for myself with that. And a lot on top of that just in terms of trying to make the most out of life.

Unfortunately, none of that actually helped. Having to mask to be able to be social/date is exhausting and frankly people suck, and wasting life working 9-5 one of the most depressing things to me. The reason I bring this up is because I did really fucking try, I tried the stuff that everyone says brings happiness - but it don't. And it's all just so irrelevant.

Over the last half decade or so, I just can't bring myself to care about anything. And I mean anything, even super simple things. I'll talk to people or listening to a song and think "why do I care what you have to say?". I'll watch a movie or read a book and can't keep focus because seriously who cares about these imaginary things some person thought up? People I know die and I'll just think "yeah that happens." And the absolute worst for me was when it came for knowledge. Because knowledge was the thing I always cared above all else. But what does "knowing things" matter if "things" don't matter to me?

Which brings me back to preface #2. Everything is irrelevant, but it's irrelevant that it's irrelevant. Except that society demands relevancy to justify ones own existence within it. It's not possible to live an irrelevant life and be part of society. I personally really only see two options: reject society or embrace absurdism.

Speaking strictly personally, I do not see rejecting society as a means of living an enjoyable life. Mostly because I know it will lead to me living out of my car again, spending my time embracing hedonism via drugs and alcohol to fuel escapism until the end comes. And if in the end I'm just going to fuel escapism, why not just escape to begin with?

Absurdism is mostly what I fed into while "turning my life around". But I do have issues with it. One is how much it feels like the "this is fine" fire meme; it recognizes the problem but then rejects that it's a problem. This is fine if "life" itself is not a problem and you are able to enjoy your time regardless (after all, the problem itself is irrelevant so yeah just reject it as a problem), but then that gets to my second and main issue: if you don't enjoy life, what defense against suicide does absurdism have? Yes there is the whole thing of "suicide just adds to the absurdity by claiming meaning is needed" but that's only if you are committing suicide because life has no meaning. I don't care that life is irrelevant, I care that life fucking sucks. Suicide then is not rejecting the lack of meaning, it's rejecting time spent unenjoyably.

I've been able to get through things being both meaningless and unenjoyable with the belief that things would become enjoyable. Now I'm nearly 40 years old, things have played out, and I do not buy into it anymore. Either life needs to be enjoyable, or there needs to be some relevancy to it. Which, I reject the later as even being knowable as a human. Which leaves the former.

Which then comes to the silly question, how do you just enjoy things?

I am able to recognize one of my issues with enjoying things: In order to raise my emotional floor, I have embraced being stoic. Things happen that are out of our control. Things are lost, hardships are had, people die. They are simply facts of life. The problem is that it also prevents enjoying things - enjoyable things are also out of your control, so do not embrace them for they will be gone. Which, moments in time then neither "good" or "bad", they simple are just moments in time. Every moment is simply some indefinite, irrelevant moment in time.

Which, kind of tied to that as well, but another issue I recognize: as I have understood my own trauma and how it's affected me, I've really understood just how much is deterministic in life. Which is especially sad in the case of trauma responses, and how much society basically double downs on the trauma (just easy eg of how "hysterical women" have been treated throughout history, but look at the overlap of BPD and traumatic childhoods).

But now these are not just moments in time, but determined yet irrelevant moments in time.

But that still doesn't preclude enjoying things. And I guess that's mostly what I'm for the search for in life, to figure out what things I actually enjoy/how to actually enjoy things I want to enjoy. Because enjoying life is certainly enough, but that requires life to be enjoyable.

And it's actually part of why I'm even posting this. With all the different ways I've changed my life and such, I've tried to look back at what was actually enjoyable. And long-form text communication is definitely the way I prefer to communicate (oh do I miss when 'social media' was forums). I also recognize the importance of being part of more smaller, tighter-knit communities compared to being a blob in a mass. So it's part looking for help, and part just trying to get back into posting on smaller communities.

But I also feel like I'm all over the place and I do apologize for that. I think to try to summarize to bring the points clearer...like I said before, life either needs to be enjoyable or there needs to be some kind of relevancy to it. So either how do you find relevancy/where am I wrong on that, or how do you find enjoyment (and I don't mean "try new hobbies until you find what you enjoy!" kind of stuff - I've already ran that gauntlet. I'm not asking where to find enjoyment, I'm asking how to feel enjoyment; how are you able to care about things might be a better war to phrase it)?

What have you been doing lately for your own fitness? Try out any new programs or exercises? Have any questions for others about your training? Want to vent about poor behavior in the gym? Started a new diet or have a new recipe you want to share? Anything else health and wellness related?

I do hope one of you thinks of a better title or a more coherent structure for the overall post.

This question was inspired by a comment chain about PFAS in Gore-Tex jackets under a different post here, but it's been a bit of a simmering question for me.

When reading through that thread, my immediate reaction was something along the lines of the following.

Unless you're directing traffic in Seattle or Scotland, wouldn't the amount of time you'd wear the jacket be too little to have meaningful exposure? It's not like you're walking into an oven where the polymers would break down from heat. Further, if it's GoreTex-appropriate weather, you'll near-certainly have additional clothing between your skin and the GoreTex.

I was bored at work today, so I had plenty of time for rumination and introspection. What I found so far is that my instinctive skepticism toward health-conscious rhetoric has these primary sources:

1. I listened to Stronger by Science's six-hour deep dive on aspartame. Their eventual conclusion is that aspartame does cause bladder cancer in rats & mice, but the equivalent doses for humans make fears over its use into a major nothingburger. A human would need to spend a year chugging down five gallons of Diet Coke each day for the elevated cancer risk to be statistically meaningful.
2. When I catch someone trying to be convincing in an area where I lack domain expertise, I judge them by their overall demeanor and (if I can catch on) general rhetorical logic [in that order] long before I consider the truth of their specific claims. The IRL people I've met who are most stridently into wholesome natural living have fervency and lack of appreciation that it's the dose that makes the poison to the degree that it makes RFK discussing vaccine policy sound grounded in reality by comparison. Perhaps if they were born in a different society, they'd make excellent temple priests who ensure no lazy shortcuts or "it's all we have available" excuses are made when it's time to ensure a full harvest. Instead, they're the kinds who play 50 million questions and have genuine concerns that the radio waves that connect my wireless headphones are giving me brain damage or control. [To be fair, there is some large selection effects here. My hobbies have a habit of attracting those who are so open-minded that their brains fell out. Since online interactions strip the majority of demeanor and previous interactions, I judge online strangers with strange opinions way less harshly than IRL contacts unless they've gone out of their way to be obnoxious. IRL, I'm exposed to a lot more generic chemicals bad rhetoric than in my usual online bubbles. ]
3. Based on 1, unless I have preexisting trust with a particular journalist, layman's science journalism—when it's performed by journalists dabbling in science rather than scientists trying their hands at public communication—is far too likely to overblow a headline or misrepresent the research conclusions. "Here are 30 links to news articles" doesn't appeal to me because 25 of them are probably copying each other (that's just how internet journalism works). It's highly unlikely that all 5 of the remaining links misread the original paper, but I'm not reading through all those (perhaps AI summarization could help here—at the very least it could identify commonalities and outliers for manual examination later).
4. Related to 2, two additional SMBC comics that share my attitude: Vitamin Water v. Butter and Pronounceable Ingredients Only

That said, sometimes the health nuts are correct. As it turns out, all the coughing smokers do is a strong sign that smoking is bad for your lungs.

What are some heuristics to sort health tips that get passed around without citation into one of the following buckets?

1. You'll notice the improvement within a week once you've finished withdrawal. Smoking, boozing, eating meat or alliums at dinnertime, and heroin are in this bucket.
2. The effect is real and significant, but you may not notice the impact until at least a year has gone by, if ever. Seatbelts and bike/horse helmets are the two examples that immediately pop to mind.
3. Technically non-zero, but ultimately trivial. The opening aspartame example would fit. In a similar line to doctors who recommend against treating prostate cancer because the treatments would shorten your lifespan by more than letting that cancer run its course and waiting for a heart attack or totally unrelated cancer to do you in, these interventions are meaningless to anyone who uses motor vehicles regularly.
4. Playground rumors or outright disinformation. Vaccines causing autism and yellow 5 as an HRT supplement b/c it shrinks your testicles belong in this wastebin.

Circling back to the impact of PFAS in Gore-Tex that inspired today's thinking, my layman's estimate that the effects on the factory workers who make a career out of working with the stuff is a low 2 when following proper safety procedures. Without them, a definite 1. For wearers of the stuff, a solid 3.

One final reason I may have been so fired up on this topic is that I listened to a highlight reel from a Congressional hearing round table on food & pharmaceutical safety last week. During the testimony, I had a nagging feeling that at least half of what they said was true, but the truth percent is below 75, and I had no idea which was which because all claims were presented with the same urgency.